NORTHERN MAINE MEDICAL CENTER (NPI# 1548785371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548785371 |
| Entity Type | Organization |
| Organization Name | NORTHERN MAINE MEDICAL CENTER |
| Other Organization Name | NORTHERN MAINE MEDICAL CENTER PHARMACY |
| Practice Address |
104 Main St Madawaska ME 04756 |
| Mailing Address |
104 Main St Madawaska ME 04756-1437 |
| Practice Telephone | (207) 728-7200 |
| Practice Fax Number | 2077287227 |
| Mailing Telephone | 2077287200 |
| Mailing Fax Number | 2077287227 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | PETER SIROIS (CEO) |
| Authorized Official Telephone | 2078343155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PH50001668 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 431916600 | 05 |
| Other Name | Type Code |
|---|---|
| Northern Maine Medical Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417430 | Northern Maine Medical Center | Durable Medical Equipment & Medical Supplies | 104 Main St, Madawaska, ME 04756 | 2005-12-10 |
| 1174519490 | Northern Maine Medical Center | Nursing Facility/Intermediate Care Facility | 25 Bolduc Ave, Fort Kent, ME 04743-1601 | 2005-09-22 |
| 1568465144 | Northern Maine Medical Center | General Acute Care Hospital | 194 East Main Street, Fort Kent, ME 04743-1428 | 2005-05-27 |
| 1851942429 | Northern Maine Medical Center | Pharmacy | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-09-25 |
| 1386147098 | Northern Maine Medical Center | Pharmacy | 104 Main St, Madawaska, ME 04756-1437 | 2018-03-09 |
| 1891184172 | Northern Maine Medical Center | Medicare Defined Swing Bed Unit | 194 E Main St, Fort Kent, ME 04743-1428 | 2015-01-09 |
| 1790830503 | Northern Maine Medical Center | Durable Medical Equipment & Medical Supplies | 194 E Main St, Fort Kent, ME 04743-1428 | 2007-01-24 |
| 1750443842 | Northern Maine Medical Center | Internal Medicine | 197 E Main St, Fort Kent, ME 04743-1409 | 2006-12-14 |
| 1053345546 | Northern Maine Medical Center | Psychologist | 194 E Main St, Fort Kent, ME 04743-1428 | 2006-07-10 |
| 1962481077 | Northern Maine Medical Center | General Practice | 194 E Main St, Fort Kent, ME 04743 | 2006-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHERN MAINE MEDICAL CENTER | 194 E Main St, Fort Kent, ME 04743-1428 |
| Street Address |
104 MAIN ST |
| City | MADAWASKA |
| State | ME |
| Zip Code | 04756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417430 | Northern Maine Medical Center | Durable Medical Equipment & Medical Supplies | 104 Main St, Madawaska, ME 04756 | 2005-12-10 |
| 1386147098 | Northern Maine Medical Center | Pharmacy | 104 Main St, Madawaska, ME 04756-1437 | 2018-03-09 |
| 1003330234 | Noelle Bouchard | Pharmacist | 104 Main St, Madawaska, ME 04756-1437 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023642758 | Ian David Lee | Student in an Organized Health Care Education/Training Program | 205 21st Avenue, Madawaska, ME 04756 | 2020-03-03 |
| 1194123893 | Robin Romann | Social Worker | 88 Fox St Ste 101, Madawaska, ME 04756 | 2014-12-11 |
| 1457507972 | Country Village Estates L.L.C. | Assisted Living Facility | 260 Dugal Drive, Madawaska, ME 04756 | 2008-08-15 |
| 1124120738 | Sarah Frances Borja Chua | Internal Medicine | 460 Main St Ste 104, Madawaska, ME 04756 | 2006-09-03 |
| 1225006778 | Steven Albert | Nurse Practitioner | 460 Main Street, Suite 104, Madawaska, ME 04756 | 2006-03-10 |
| 1609269711 | Kayla Cl Michaud | Counselor | 88 Fox St, Madawaska, ME 04756 | 2015-03-13 |
| 1073809034 | Heather A Berce | Social Worker | 88 Fox St, Suite 101, Madawaska, ME 04756 | 2011-06-28 |
| 1235423922 | Tricia L. Perreault | Counselor | 88 Fox St, Suite 101, Madawaska, ME 04756 | 2011-05-31 |
| 1396863791 | Lori A Martin | Social Worker | 272 Main Street Suite 103, Madawaska, ME 04756-0602 | 2007-03-26 |
| 1851664585 | Sonya Poiesz | Nurse Practitioner | 460 Main St Ste 201, Madawaska, ME 04756-1014 | 2012-02-10 |
| Find all providers in zip 04756 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386147098 | Northern Maine Medical Center | Pharmacy | 104 Main St, Madawaska, ME 04756-1437 | 2018-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679049175 | Rx Associates LLC | Pharmacy | 711 Broadway Ste 2, Bangor, ME 04401-3225 | 2018-10-23 |
| 1265832752 | Kennebec Pharmacy and Home Care LLC | Pharmacy | 11 Medical Center Pkwy Ste B, Augusta, ME 04330-8158 | 2014-09-03 |
| 1700125267 | Mvh Phamacy (external Non Va Business) | Pharmacy | 5 Community Dr Ste 1, Augusta, ME 04330-8088 | 2013-02-04 |
| 1770805434 | Mvh Pharmacy | Pharmacy | 5 Community Drive, Suite 3, Augusta, ME 04330 | 2010-02-23 |
| 1295847846 | Uni-care Health Services of Maine, LLC | Pharmacy | 39 Eisenhower Dr, Westbrook, ME 04092-2033 | 2006-08-31 |
| 1912017906 | Pharmerica East LLC | Pharmacy | 97 Mcalister Farm Rd, Portland, ME 04103 | 2006-08-30 |
| 1558372060 | Bedard Senior Care Inc | Pharmacy | 359 Minot Ave Ste C, Auburn, ME 04210-4329 | 2006-08-10 |
| 1831129857 | Omnicare Pharmacy of Maine, LLC | Pharmacy | 99 Enterprise Ave, Suite 3, Gardiner, ME 04345-6244 | 2006-07-04 |
| 1891330072 | Aroostook Apothecary LLC | Pharmacy | 159 Academy St, Presque Isle, ME 04769-3101 | 2019-11-12 |
| 1467976944 | Aroostook Pharmacy Inc. | Pharmacy | 182 Market St Ste 3, Fort Kent, ME 04743-1514 | 2017-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.